Therapist Registration — Myprotherapies

Registration Application

The process of trainee registration follows a five step pathway:

Step One: Complete and submit the form below.

Step Two: Receive a thirty minute suitability interview link via email.

Step Three: Submit scanned copies/images of the relevant documentation via email to be verified.

Step Four: Allow us to follow up your references and verify your supervisor.

Step Five: Book in your first clients and start earning income while you launch and build your support/therapy/counselling career!

Name

First Name

Last Name

Phone

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I have an in-date enhanced DBS, if not, we can assist in acquiring one.

Yes

Please detail all educational qualifications to date, include subjects and grades attained, be aware you may be asked to evidence these.

GCSE's, or high school equivalents, A-Level's, or equivalents.

Please detail your previous work experience to date.

Jobs, roles and positions held.

Please detail your therapy/counselling training, include full course name, the qualification awarded on completion and awarding institution.

E.g., University, Msc/PgDip/PgCert, National Counselling Society, Counselling level Two etc.

Please detail the professional body you are aiming to become accredited/affiliated with.

E.g., BACP, BABCP, UKAHPP etc.

Please detail your clinical supervisor if you have one, (this is a requirement of practice, and especially vital as a trainee). Include their relevant details.

Name: Accreditation's: Phone: Email:

Please provide three references in the format outlined below. Two of which will be contacted, and one as a back-up. Preferably these references will contain both an educational and vocational reference.

Name: Email: Phone: Role: Relation to you:

Referral(name + email) / Affiliate (code)